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Provider education Remote Jobs

23 fresh jobs found

Part Time-Associate Medical Director(Required Weekends)
Dayton WFH, United States

Prior authorization reviews Clinical appeals support Clinical case review Medical consultation Performance evaluations Systematic Thinking Clinical appeals URAC Data Sharing +31

Senior Mid Part Time

USD 191K+

Sr. Risk Adjustment Administration Professional
Remote US, United States

EMR interoperability Claims Submission Population health management Medical Director Assist Provider education Interoperability Provider Relations Population health +64

Senior Full Time

USD 78K+

Remote Medical Director, Grievances & Appeals
Dayton WFH, United States

Clinical case review Medical consultation Performance evaluations Clinical appeals Systematic Thinking URAC Cultural Sensitivity Data Sharing Critical Listening +31

Exec Senior Full Time

USD 191K+

Pro Fee Coding Educator – Special Projects
Work at Home - Ohio - Other, United States

Ensemble Health Partners

In-office procedures E&M leveling Documentation compliance Coding compliance Surgical Procedures Provider education EHR systems Color Guidance +13

USD 62K+

Provider Engagement Account Manager
Remote-DE, United States

Centene Corporation

Consultative account management Demographic information changes Claims Submission Cost and utilization Quality measures Network performance Provider education Utilization Provider engagement +31

USD 55K+

Quality Practice Advisor
Remote-IL, United States

Centene Corporation

Performance Data Healthcare Standards Medical record documentation Cphq Risk Adjustment Coding Provider education HEDIS ICD-9 Guidelines +26

USD 52K+

Provider Services Materials and Communication Professional supporting DSNP
Work at Home - Virginia, United States

Template design Provider communications Learning design principles Learning Design Assist Health Plan Operations Matrixed environment Microsoft Office Applications Rating +49

USD 59K+

Risk Adjustment Auditor III (Coding Certification Required)
Dayton WFH, United States

Risk Adjustment Coding Facets CPT-4 ICD-10 Coding Provider education CPT codes Risk Adjustment Medical Coding ICD-10 +33

Senior Full Time

USD 70K+

Value Based Care Coder Educator
Linthicum Heights, MD, United States

University of Maryland Medical System

Provider education ICD-10-CM Risk Adjustment Medical Coding Healthcare Compliance Clinical Documentation EPIC Coding Quality Assurance +7

Senior Mid Full Time

USD 66K+

Provider Engagement Administrator II
Remote-NJ, United States

Centene Corporation

Claims billing Claims reimbursement Cost and utilization Network performance Provider education Utilization Provider engagement HEDIS Provider Relations +29

USD 55K+

Clinical Documentation Integrity (CDI) Specialist- 2nd Level Reviewer- Remote
Home Office: San Antonio, TX, United States

Chart Review Encoder Quality review Provider education Coding Guidelines Healthcare Regulations Clinical Documentation Quality Billing +13

USD 80K+

Quality Improvement Specialist
Remote-IL, United States

Centene Corporation

Intervention Development Performance Data RN licensure Member Outreach URAC Member education Internal Auditing Focus Groups Health administration +42

USD 55K+

Provider Engagement Account Manager
Remote-WA, United States

Centene Corporation

Consultative account management Demographic information changes Cost and utilization Quality measures Network performance Provider education Provider engagement Utilization Provider Relations +30

USD 55K+

Senior Professional Nurse- Remote
Topeka, KS, US, 66619-1448

Gainwell Technologies

DRG coding Billing audits Medical Review Provider education DRG Accuracy ICD-9 HCPCS Utilization Review +33

Senior Full Time

USD 64K+

Vascular Specialized Coder
Work at Home - Arizona - Other, United States

Ensemble Health Partners

Education Support Vascular coding Educational tools Physician coding Coding software Provider education ICD-10-CM Color Coding Guidelines +22

USD 52K+

Senior Professional Nurse
Topeka, KS, US, 66619-1448

Gainwell Technologies

Billing audits DRG coding Medical Review Provider education DRG Accuracy ICD-9 Utilization Review HCPCS +33

Senior Full Time

USD 64K+

Risk Adjustment Specialist II (non-clinical)
Remote-IA, United States

Centene Corporation

Claims knowledge Risk Adjustment Coding Medical record documentation Provider education Health administration ICD-10 Coding Guidelines Risk Adjustment Health Plan +26

USD 95K+

Quality Practice Advisor
Remote-ME, United States

Centene Corporation

Healthcare Standards Medical record documentation Risk Adjustment Coding Cphq Provider education Documentation standards HEDIS NCQA ICD-9 +25

USD 52K+

Senior Coder
Work at Home - Ohio - Other, United States

Ensemble Health Partners

Educational tools Coding software Provider education Coding Guidelines Color HCPCS Guidance Healthcare Knowledge Revenue Cycle Management +22

Senior Full Time

USD 43K+

Payment Integrity Clinician - (Remote)
PA, Working at Home - Pennsylvania, United States

Highmark Health

Coding criteria Medical Policies Medical Documentation Payment Integrity Health care services Claims analysis Provider education Utilization management Quality improvement +11

Senior Mid Full Time

USD 57K+

Physician Coding Auditor
Work at Home - Ohio - Other, United States

Ensemble Health Partners

Educational Resource Development Physician coding Coding and Billing Performance review Technical resource Provider education Color Medical Coding Guidance +19

USD 51K+

Quality Practice Advisor
Remote-OK, United States

Centene Corporation

Risk Adjustment Coding Cphq Documentation standards Medical record documentation Provider education ICD-9 NCQA HEDIS Risk Adjustment +23

USD 52K+

Provider Engagement Account Manager
Remote-OK, United States

Centene Corporation

Cost and utilization Network performance Quality measures Utilization Provider education Provider engagement HEDIS Provider Relations Health Plan +28

USD 55K+

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